Provider Demographics
NPI:1659654515
Name:LONE WOLF CONSULTANTS, INC
Entity Type:Organization
Organization Name:LONE WOLF CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BYNUM-BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-206-1595
Mailing Address - Street 1:1915 AYALA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3621
Mailing Address - Country:US
Mailing Address - Phone:713-206-1595
Mailing Address - Fax:281-762-2330
Practice Address - Street 1:1915 AYALA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3621
Practice Address - Country:US
Practice Address - Phone:713-206-1595
Practice Address - Fax:281-762-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services